Individual
RACHEL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
107 WALNUT LN STE 102, NORTH AUGUSTA, SC 29860-8629
(803) 202-7110
(803) 202-7111
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227833
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2020
Last updated
04/05/2021
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